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<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Untitled Document</title>
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<body>
<form id="form1" name="form1" method="post" action="">
  <table width="452" border="1">
    <tr>
      <td colspan="2"><blockquote>
        <blockquote>
          <blockquote>
            <p><strong>Create Test Maker Account</strong></p>
          </blockquote>
        </blockquote>
      </blockquote></td>
    </tr>
    <tr>
      <td width="77"><div align="right">Username:</div></td>
      <td width="359"><label>
        <input name="textfield" type="text" id="textfield" size="35" />
      </label></td>
    </tr>
    <tr>
      <td><div align="right">Password:</div></td>
      <td><label>
        <input name="textfield2" type="text" id="textfield2" size="35" />
      </label></td>
    </tr>
    <tr>
      <td><div align="right">Firstname:</div></td>
      <td><label>
        <input name="textfield3" type="text" id="textfield3" size="35" />
      </label></td>
    </tr>
    <tr>
      <td><div align="right">Lastname:</div></td>
      <td><label>
        <input name="textfield4" type="text" id="textfield4" size="35" />
      </label></td>
    </tr>
    <tr>
      <td><div align="right">DOB:</div></td>
      <td><label>
        <input name="textfield5" type="text" id="textfield5" size="35" />
      </label></td>
    </tr>
    <tr>
      <td><div align="right">Gender:</div></td>
      <td><label>
        <select name="select" id="select">
          <option>Select  Gender</option>
          <option value="0">Female</option>
          <option value="1">Male</option>
        </select>
      </label></td>
    </tr>
    <tr>
      <td><div align="right">Phone:</div></td>
      <td><label>
        <input name="textfield7" type="text" id="textfield7" size="35" />
      </label></td>
    </tr>
    <tr>
      <td><div align="right">Address:</div></td>
      <td><label>
        <input name="textfield8" type="text" id="textfield8" size="35" />
      </label></td>
    </tr>
    <tr>
      <td colspan="2"><label></label>&nbsp;&nbsp;message</td>
    </tr>
    <tr>
      <td>&nbsp;</td>
      <td><label>
        <input type="submit" name="button" id="button" value="Create" />
        <input type="reset" name="button2" id="button2" value="Reset" />
      </label></td>
    </tr>
  </table>
</form>
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